2001-435 TOWN OF QUEENSBURY
742 Ba Road ueensb NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICA OF
TE OCCUPANCY
Permit Number: P20010435 Date Issued: Friday, July 13, 2001
This is to certify that work requested to be done as shown by Permit Number P20010435
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: LUZERNE Rd LOT 126; HOMESTEAD VILLAGE
Owner: HOMESTEAD VILLAGE L P
Applicant: TYMOTHY BAPP
This structure may be occupied as a:
By Order of Town Board
Mobile Home In Park TOWN OF QUEENSBURY
(Dej414.
yt ,. 4.
Director of Building&Code Enforcement
1
TOWN OF QUEENSBURY
• 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010435 Application Number: A20010435
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: TYMOTHY BAPP
For property located at: LUZERNE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park 30,000.00
4294 ROUTE 5 Total Value 30,000.00
CALEDONIA,NY 14423
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-435 TYMOTHY BAPP LOT 126 HOMESTEAD VILLAGE
14' X 76' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
$41.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,July 05,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To ueen ury; Thu sday,July 05,2001
SIGNED BY for the Town of Queensbury.
Director of Building Cod nforcement
FILE No.425 06/18 '01 PM 02;;32 ID:TOWN OF QUEENSBURY FAX:513 Y4b 44:5( fHUt t•
Application for Permit— Mobile Home
Town of Queensbury, 742 Bay Road Queensbury, NY 12804 (5.18) 761-8256
A building permit must be obtained before placement of mobile home on parcel. No inspections will be made
until a valid building permit has been issued.
Applicant Information w� Wee Use
Name: � oT1)"A i File Permit Na. v/�j�
i j 2 I � �� l
V'f Ai Fee Paid UZ�
Address: Ili
01,AJ71-4/4- �9
_ Reviewed By:
Phone No. )(itif .�,� �._
JUN192001
Parcel Information
Property Owner Information TOWN OF CMEENSBUIIY
Name: fre,
Proposed Date of Placement: �UILDIfUr,AND CODE
Property Location:
�" /
Address: 10' 9 y ,1 (� S Road,St set,Avenue
011 0 r/;!� � 1 I "1 y 1-3 Name of Mobile Home Park:
(if applicably 1
Phone No. /6 2'24 �'-n) i) I
Tax Map Number: �/ 1,_ ,
Mobile Home Information Zoning Information
Approximate Value of Home: S 70) vv
tVG'( Zoning Classification:
New Home: Yes No .
Size of Property: ft. by 8.
Replacement Home: Yes . No
Existing buildings:
Size of Mobile Home: i'( ft. by ) &ft.
s Setbacks: front yard R; rear yard ft.
Singlewide: x Doublewide: . Side yards ft.and ft.
Number of Rooms: (exclude baths).:
Number of Bedrooms: Accessory BuiIding(s): circle
Number of Bathrooms.
Detached garage: I car; 2 car car
circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: I car; 2 car, car
Storage building: Yes No
Foundation Support: Other:
TYPE -SIZE DEPrH Water Supply: well or municipal
Pica (5/la s/a u-,� -. x
Runners x - Is Septic Permit Required? Yes or No
Slab x
Further information requested on the reverse side of this sheet I
FILE No.425 06/18 '01 PM 02:33 ID:TOWN OF QUEENSBURY FAX:518 745 4437 PAGE 2
Name of Installer or Mobile Home Dealer: MI co " 5r ' i
Address: :(�"�,J ^i`'t
Phone No. I S 6�,�i ' 2-r5 1
Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.
1. Insignia serial number: 3 5 4, 1 5 I .
2. Name of manufacturer: C f j V—. - .
•
3. Plan Approval Number:
4. Model or Component Designation:
(New Home ONLY)
5. Date of Manufacture: 1 t C)
AFFIDAVIT
Town of Queensbury Static of New York
County of warren - -
I swear that to the best of my knowledge and belief the statements
contained in this application,together with the plans and specifications
submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BUILDING CODE,the
ZONING ORDINANCE, and all other laws pertaining to the proposed work
shall be complied with,whether specified or not, and that such work is
authorized by the owner.
Signature:
owner.owner's agent,architect.contractor
Special Conditions of Permit
•
By:
Fix= Iu19n999eh Code Enforcement Officer
FINAL INSPECTION REPORT pm
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8 6
ARRIVE: DEPAR A�INSP:
DATE INSPECTION REQUEST RECEIVED: 7 3 610/
NAME:
LOCATION: �/ / a_,
/35
DATE: 7 � i /imir PERMIT t1.� -
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/A , YES NO
1. foundation support, pier spacing
per manuf.
2. anchoring per manuf. —
��
water line shut off QC- — G /_
14. sewer line support @ 4 feet
5. heating crossover (dblewide) off grd.
6. dryer vented outside
7. skirting ventilated
8. hot water relief valve piping outside
9. deck, porches, steps, railing
46. furnace/hot water operating — —
11. garage fire proofing
12. door closers
13. plumbing fixture — — —
14. foundation insulation (if appl.)
15. smoke detectors
16. final electrical 17. variance required —
18. data plate okay
19. mobile HUD seal okay — — —
Model # Serial #
Manufacturer
rate of Manufacturer
OKAY TO ISSUE C/O YES NO
Comme ts: ��'
FINAL INSPECTION REPORT
._. MOBILE / MOOULAR •
Town of Queensbury Building & Code Enforcement id
r00
742 Bay Road
Queensbury, NY 12804
(518)`761-8256
ARRIVE: 617
DEPART:VI c INSP:
DATE INSPECTION REQUEST RECEIVED:
NAME: UP- g+
LOCATION:IJW • I krMak tiat_`. '
DATE: 0 r /6 PERMIT#0/
MOBIILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/A YES O
1. foundation support, pier spacing
per manuf. — —/—
2. anchoring per mnuf. = t/
3. water line shut •ff
4. sewer line su•.o rt c 4 eet / _ —
5. heating crossove, (dble ''de) off grd. J _
6. dryer vented ou •ide"
7. skirting ventila •• — �/
8. hot water relief va.ve ,•iping outside
9. deck, porches, step, railing _10. furnace/hot wate o rating —11. garage fire proofing — — ,
12. door closers
13. plumbing fixture — /
14. foundation insulation (if appl.)
15. smoke detectors.
16. final electrical .V O.. — / —
17. variance required /
18. data plate okay 19. mobile HUD seal okay I r—
Model # Peccota. 7-b Serial #eNQA-^1 T6Za
Manufacturer p r6
Date of Manufacturer 1( "l
OKAY TO ISSUE C/O. YES /NO
C� 'vfPaR-f 4ePrj :. hRN�
Comment `ic)STALL /i)50L "e �
s�^�, E-14-`( )"C” •
-
610 Powc1 (GA-5 w.v'r 6,49cfrees
FINAL INSPECTION REPORT
MOBILE. 0 MOOLILAR
Town of Queensbury
Building & Code Enforcement
742.Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE/a DEPART: INSP:'/
DATE INSPECTION REQUEST RECEIVED:
� 1
NAME: J
LOCATION: ! C
DATE: ? 5-c;00 / PERMIT#D/ `t-
J
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A . YES NO
1. foundation support, pier spacing
per manuf.
2. anchoring per manuf. ePe y �/
3. water line shut off
4. sewer line support rn •-t 5. heating crossover r blewi,-) off grd. Tr _ _
6. dryer vented outsi•e"..ti
7. skirting ventilated
8. hot water re ief val e pi g outside _
9. deck, porches, to N, ailing
10. furnace/hot water o,-rating _11. garage fire proofing r — _
12. door closers _
13. plumbing fixture —
14. foundation insulation (i appl.) _
15. smoke detectors
16. final electrical _ _ _✓
17. variance required
18. data plate okay
19. mobile HUD seal okay
Model # Serial #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE CIO YES /NO
Comments: /pis 4.JU v� i 4i f . G4 ft
,1EPE DLr��[J�rJ�r�r�[1�[nrJ�rJ�rJ�rJ�r�rJIrJ�r�JP LIMP r_PLIPPr nr_PLI PERPL ccP cPcPc_PrIr�tl
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU 5
R U OF ELECTRICITY 5
40 FULTON STREET — NEW YORK, NY 10038
5 92-0- 45S CERTIFIES THAT • 5
5 5
SUpon the application of upon premises owned by 5
5 55
5 JIMS MOBILE HOME SERVICE TIM BAPP
8 EAST AVE 126 QUEENSBURY,NY 12804 QUEEONSBURY, NY 1MESTEAD TRAILER0 CT.
55
Located at 126 HOMESTEAD TRAILER CT. QUEENSBURY, NY 12804
Application Number: 1017827 Certificate Number: 1017827 5
5 5
5 Section: Block: Lot: Building Permit: BDC: A239 5
5 5
Described as a Residential occupancy,wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at:
5 Outside,
5 5
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was
found to be in compliance therewith on the 12th Day of July,2001. 5
Name QTY Rate Rating Circuit Type 5
Service
CD Meters: 1 5
5 5
5 5
5 5
5
5
5
5
5
5
5
5 5
5 seal 5
5
1 of 1 5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5
O nc.r�P�PrJ�rJ�cPc_PL��PLIE JLIPP�nrJ��PrJ��Pr��ncP�nrJ��PrJ�Pn�n�Pr�rlOPLPEE_PE PLIQnJPrPJPJJ�cn�nr�rJ�r�r nrJ�rJ�EPrJarJPrJ�rJ��Pr1t�rJ�rJ�rJ�Ji LIMED
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i SUN 1 9 200y
0 TOWN G+• EENSBURy
AND CODE
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V . . .
NOTICE
ANCHO ING OF MOBILE HOME
FRAIA IS REQUIRED PER •
i ,i ) ' MANUFACTURERS SPECIFICATIONS
TOWN 0'7-QUEENSBURY MU-AG DE ARTI FN1 •
Bed on our limited-axon-Lind'II •
compliance with Our coinmen • all V
not be construed as indicating ie
pins and specifications are in full .
compliance.v.ith the code.
TOWN �.�;- � a � z�� �'�. ',F.
•
,BUL 1 ° .4 : it I T®
REVIEWED BY ' j if -
07/05/2001 09:37 5185800619 SHOWCASE-SHO HOMES PAGE 01
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